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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TY D THORNOCK, CRNA

Active

TY D THORNOCK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SHAWANO, Wisconsin. NPI 1720098197 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SHAWANO, WI

Registration Details

NPI Number
1720098197
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2006 (20.061000792231 yrs)
Last Updated
Mar 17, 2018
License
2685-033 (WI)

Practice Information

Address
100 COUNTY ROAD B
SHAWANO, WI, 541667072
Browse WI providers · Browse ZIP 54166
Phone
7155242161
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in SHAWANO, WI

Name Credential NPI
THOMAS L OLMSTED CRNA 1689622979
JOHN D SCHARINE CRNA 1891705364
JOHN E SCHREINER CRNA 1467462838
CORTNY A RECTOR CRNA 1194267088
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.